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Date
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JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM

01/13/98

AGENCY

RECORD NUMBER
RECORDS SERIES
AGENCY FILE. NUMBER

ORIGINATOR
FROM

TO

TITLE

DATE

PAGES
SUBJECTS

DOCUMENT TYPE
CLASSIFICATION
RESTRICTIONS
CURRENT STATUS

DATE OF LAST REVIEW
OPENING CRITERIA
COMMENTS

AGENCY INFORMATION

INSCOM/CSF

194-10004-10138

DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS
PAGES 27-27A

USA

DIETRICH, DAN H. JR

USA PERSONNEL SECURITY GROUP
[ RESTRICTED ]

06/13/67

5

FROMER, DAVID REED _,

LOCAL FBI (S) FILE CHECK

REQUEST FOR AND RESULTS OF PERSONNEL SECURITY ACTION

RESULTS OF PERSONNEL SECURITY ACTION

PAPER, TEXTUAL DOCUMENT
CONFIDENTIAL

3

RELEASED WITH DELETIONS
03/07/95

INCLOSURES NOT INCLUDED. RECORD REGRADED UNCLASSIFIED
ON .2 SEP 94


SECTION Ill j= REQUE.
17. ReEBOART OF AGTION

‘R TO CONTROL OFFICE

(J INFeRMATION NOTED @WRJEGT REASTIGNED TO NONe (J INFORMATION CONSIBEREB NOB BAR FS
. @GNSITIVE BGUTIES, INVESTIGATION CLEARANCE. REQUEST COMOLE TIBN
MAY BE SANGELED: OF INVESTIGATION.

1O/ SUBJE@T WAS TRANSFERRED

fy
ru ["esesuanrens FER DATEB
. os — a

16. REMARKS (If retuming corocted forms, state herc)

INCLS. | . . TYPED NAME AND TITLE

SIGNATURE

. 7 te oO oe

SECTION IV = CONTROL OFFICE TO ACTION AGENCY
20. RESULTS OF PERSONNEL SECURITY ACTION

() No RECORD (J FAVORABLE (MINOR UNFAVORABLE INFORMATION RECORDED IN ITEM 21
[{] PRIOR INVESTIGATION INSUFFICIENT FOR ACTION CONTEMPLATED FORWARDED FOR SECURITY DETER=
IF NEEDED, INITIATE REQUEST FOR INVESTIGATION. MINATION BY CLEARING AUTHORITY

TYPE OF INVESTIGATION COMPLETED BY

(Nace (yNact (jet) = (KYortuer NSAINTC os

21. REMARKS

DATE DOSSIER NUMBER
13 Jen 67 5 64 58 81 37

@ THIS FORM, TOGETHER WITH ANY INCLOSURES, REPORT OF ACTION TAKEN AND USACRF COPY OF BA FORM e738

(if appropriate) WILL. BE RETURNED TO THE CONTROL OFFICE WITHIN DAYS AFTER RECEIPT.

& IN THE EVENT SUBJECT HAS BEEN TRANSFERRED FROM YOUR COMMAND, THIS FORM AND INGLOSURES WILL BE

RETURNED IMMEDIATELY WITH ITEM 23 COMPLETED.

ATTENTION is INVITED TO: PARAGRAPHS

AR 604-5; PARAGRAPH, AR 604—11;. PARAGRAPH
A4R 640-98; AND PARAGRAPH AR 381~—130, AS APPLICABLE. :

TYPED NAME AND TITLE

DAN H. DIETRICH, JR.
LTC, AIS, CHIEF, TCOP.IIT
SECTION V ~ ACTION AGENCY TO CONTROL OFFICE
22. REPORT OF ACTION . . 7
([) FAVORABLE DETERMINATION, USACRF. [[] uNFAvoRaeLe DETERMINATION, RESEMBED PER DAAMESSAIGE
COPY DA FORM 673 ATTACHED - _ RECOMMENDED ACTION IN [TEM 24 DAS 7639755 BATERD IG MAY 6

23. SUBJECT WAS TRANSFERRED - .

HEADQUARTERS |" DATED

Regraded Unclassified When Sepsrated ON?
Bt Et From Clascificd Inclesures sep Y . rouPD
ret 0 ; and Narked AUTH Pz. 2 1- ooo P9 5200.48
' rFOR OFFICIAL USE ONLY - This. Protective .
Marking is Excluded From Automatic

INCLS TYPED NAMe AND TITLE POrming SIGNATURE

oT

To

24. REMARKS

NW 60613 Docid:34528551 Page 2

2 \ \
REQUEST FOR AND RESULTS OF PERSONNEL SECURITY ACTION [°° os May. 1969
(AR 361m150) —_ —_— .

TO! (Contras! Offias) THRU: o 4 - FROMi (Requesting Agency)
DCS-OPS oe ee :
USAINTC be om eT USABSE
ATTN: OPS TII (Mr. Burvasser wos
Fort Holabird, Md. | a types

CONTROL OFFICE USE ONLY
REQUIREMENT REQUEST Na.

(Enter name and address of the ACTION AGENCY.to which eoaults ato to ‘be sont: i known- by .-
soquester) ,

“|
U.S. Army Personnel Security Group
Fort Holabird, Maryland 21219
ATTN: Adjudications Division

L ne an _

OPENING DATE

REMARKS

RECO? 129 cop mm

SECTION | — REQUESTER TO CONTROL OFFICE
2. ALIAS(ES), MAIDEN NAME

I, sussect (Last name in capitals, first and 3. SERVICE/SOCIAL SECURITY NQ.

ddle names)

564-58-8137

6 GRADE AND POSITION .

FROMER, David Reed

4. DATE OF BIRTH 5. PLACE OF BIRTH (City, State and country)

(Day, Month, Year) (
21 July 1942 ps Illinois /

J8. TYPE OF INVESTIGATION: s.FOR CLEARANCE AND/OR ACCESS TO:
Cjnac ()naci ((]8i  [XJOTHER(Expiain in Item 15) (top secret [secret (-) CONFIDENTIAL
10. TO DETERMINE SUITABILITY FOR:

Registrant

&. [_] FOR LIMITED ACCESS AUTHORIZATION

11. JUSTIFICATION e. {_] INTERIM CLEARANCE DESIRED

4. [KX] OTHER (Explath in Item 45)

fiz. REVIEW OF FILES REQUIRED BY PARAGRAPH _AR 604-S, COMPLETED ON REVEALED:

(]Nne UNFAVORABLE INFORMATION Toh CON seme let ed INFORMATION DETERMINED NOT TO BE A BAR TO ACTION
CI INFORMA TION SUMMARIZED IN ITEM 15

13. LATEST INVESTIGATION/ CLEARANCE (Type, when, by whom)

14. NO BREAK IN FEDERAL SERVICE
EXCEEDING SIX MONTHS SINCE

15. REMARKS (If unfavorable information entered, transmit in sealed envelope thru intelligence channels.)

Request that Headquarters and Local FBI (S) file checks be- conducted on SUBJECT's
parents,

"Request this investigation be expedited as determination under AR 604-10 is
being delayed at Department of the Army pending results".

PEGS

ON? 2 Sep

BY CL . ay. +t OUPO
AUTH Pa:a1-c.0 59520048

JINCLS TYPED NAME AND TITLE
JB FI

Dossier 564588137 NNEGAN
re SUBJECT COL AIS

SECTION Il - CONTROL OFFICE TO REQUESTER
le. ([] NEW FINGERPRINT CARD REQUIRED

() 'tTems ON SPH (PSQ) REQUIRE CORRECTION AND/OR COMPLETION,
——<$<——$___

(7) INTERIM REPORT FORWARDED. REQUEST REPORT OF ACTION TAKEN AND RETURN OF INCLOSURES UPON COMPLETION,

TYPED NAME AND TITLE

DA: 2784 "eee ee

NW 60613 Docid:34528551 Page 3

